Active NPI
Mary Ann Klimas, RDN
- Registered Dietitian
- Barre, VT
National Provider Identifier
1013469840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 074.0000003
- Practice address
- 130 Fisher Rd
Central Vermont Medical Center
Barre, VT 05641-9004 - Phone
- (802) 371-4150
- NPI assigned
- Oct 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 074.0000003 | VT | Primary |
Addresses
Primary practice location
130 Fisher Rd
Central Vermont Medical Center
Barre, VT 05641-9004
Mailing address
130 Fisher Rd
Central Vermont Medical Center
Berlin, VT 05641
Phone (802) 371-4150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074.0000003 | Other | VT | SECRETARY OF STATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074.0000003 | VT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1013469840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 FISHER RD",
"address_2": "CENTRAL VERMONT MEDICAL CENTER",
"city": "BERLIN",
"state": "VT",
"postal_code": "05641",
"telephone_number": "802-371-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 FISHER RD",
"address_2": "CENTRAL VERMONT MEDICAL CENTER",
"city": "BARRE",
"state": "VT",
"postal_code": "056419004",
"telephone_number": "802-371-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIMAS",
"first_name": "MARY ANN",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-27",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VT",
"license": "074.0000003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECRETARY OF STATE",
"identifier": "074.0000003",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.